Will Medicare Pay for a Hoyer Lift?
Seniors who have trouble moving around may benefit from using a Hoyer lift. This full-body lifting device can help individuals transfer in and out of a bed, bath or chair without help from a caregiver. If a plan-approved doctor deems a lift device medically necessary, Medicare will pay for a portion of the purchase or rental price of a Hoyer lift.
The Average Cost of Hoyer Lifts
Hoyer lifts come in several types, and prices vary according to the quality and complexity of the unit. Freestanding manual models typically have a purchase price ranging between $400 and $500, while power lifts, which may plug into a wall or use rechargeable batteries, cost about $3,000. For a sit-to-stand model, consumers can expect to pay at least $1,000. Ceiling-mounted units, which are permanently installed in a home, are also available, but their cost can run upwards of $20,000.
Individuals with short-term care needs, such as post-surgical mobility limitations, can also rent Hoyer lifts for a monthly fee. Costs vary depending on the model, duration of the rental and the location, and prices can range anywhere from $25 per month to upwards of several hundred dollars.
Medicare Coverage Rules for Hoyer Lifts
Manual Hoyer lifts are considered durable medical equipment, which is a covered benefit under Medicare. A doctor’s prescription, indicating medical necessity, is required, and coverage may vary depending on whether a participant is enrolled in Original Medicare or Medicare Advantage.
Original Medicare Guidelines
Medicare Part B covers 80% of the Medicare-approved cost of a manual Hoyer lift, leaving enrollees who’ve met their Part B deductible responsible for the remaining 20%. The equipment must be purchased or rented through a qualified Medicare DME supplier. However, depending on the duration of an enrollee’s medical needs, Medicare may require some participants to rent the equipment by the month. Coverage does not extend to power lifts.
Medicare Advantage Guidelines
Medicare Advantage plans must provide, at minimum, the same benefits as Original Medicare, so if a Hoyer lift is deemed medically necessary, at least 80% of purchase or rental costs are covered. However, MA benefits differ by the issuer and individual policy, so some plans may offer higher coverage amounts or cover equipment that isn’t reimbursable under Original Medicare, such as power lifts or ceiling-mounted units. Medicare Advantage beneficiaries should reach out to their individual health insurance company for plan-specific coverage information.